Senior Clinical Auditor
Company: VirtualVocations
Location: Fresno
Posted on: February 13, 2025
|
|
|
Job Description:
A company is looking for a Senior Auditor- Clinical
Validation.
Key Responsibilities
Analyzes and audits claims using medical coding principles and
clinical guidelines
Utilizes proprietary auditing systems to make determinations and
generate audit letters
Maintains productivity and accuracy standards while identifying new
claim types for potential recoveries
Qualifications & Requirements
Associate or bachelor's degree in nursing or Health Information
Management (RHIA or RHIT)
Certification in coding/CDI (RHIA, RHIT, CPC, COC, CCS, CIC, CDIP,
or CCDS)
5 to 7+ years of experience with ICD-9/10CM and medical claims
billing/payment systems
Expert knowledge of coding guidelines and regulatory compliance
Proficiency in Word, Access, Excel, TEAMS, and other
applications
Keywords: VirtualVocations, Fresno , Senior Clinical Auditor, Healthcare , Fresno, California
|
Click
here to apply!
|
